Organization
BRUCE A GOODMAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A GOODMAN M.D. (PRESIDENT)
(215) 598-3830
Entity
Organization
Contact information
Practice address
790 NEWTOWN YARDLEY RD, SUITE 420, NEWTOWN, PA 18940-1748
(215) 860-2424
(215) 860-3044
Mailing address
790 NEWTOWN YARDLEY RD, SUITE 420, NEWTOWN, PA 18940-1748
(215) 860-2424
(215) 860-3044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039676E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0873363001
KEYSTONE HEALTH PLAN EAST
PA
05
—
1196960
—
PA
01
—
465902
AETNA
PA
01
—
6570340
CIGNA
PA
01
—
926337
IBC
PA
Enumeration date
12/08/2006
Last updated
08/22/2020
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